Advice

NICE recommend that chest radiographs should not be routinely offered before elective surgery.

 

Criteria

Patients undergoing cardiac or thoracic surgery

OR

Patients undergoing organ transplantation or live organ donation

OR

At the request of the anaesthetist in those with suspected or established cardio-respiratory disease, who have not had a chest radiograph in the previous 12 months, and who are likely to go to critical care after surgery

OR

At the request of the anaesthetist in those with a recent history of chest trauma

OR

At the request of the anaesthetist in patients with a significant smoking history who have not had a chest radiograph in the previous 12 months, or those with malignancy and possible lung metastases

OR

At the request of the anaesthetist in those undergoing a major abdominal operation, who are at high risk of respiratory complications

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